Lisak, Justin B

Lisak, Justin B is an sole proprietor health care provider with primary practice located at 3105 Harrison St , Hollywood FL 33021-7042. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Lisak, Justin B can be contacted via phone (954) 328-2802.

Contact Information

Primary practice address
3105 Harrison St Hollywood FL 33021-7042
Phone: (954) 328-2802
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1689955866
LBN Legal business name Lisak, Justin B
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2011
Last updated Sep 1st, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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